Description

The Revenue Cycle Manager, in partnership with the Director, is responsible for strategically

defining, driving, monitoring, and achieving key performance indicators across all revenue

cycle functions. This role translates organizational priorities into actionable operational plans,

leads their implementation, and continuously evaluates results to ensure the successful

achievement of departmental and organizational goals.

The Revenue Cycle Manager oversees all facets of the revenue cycle-including billing,

payment posting, collections, and workflow optimization-to support strong cash flow,

accuracy, and operational excellence. The position provides daily leadership and guidance to

Coordinators, staff, manages departmental activities, and collaborates with internal and

external stakeholders to resolve issues, improve processes, and maintain compliance with all

regulatory and contractual requirements.

This role exercises independent judgment and decision-making authority in managing assigned

areas, resolving problems, and supervising departmental personnel.

Key Responsibilities Revenue Cycle Performance & Operations • Collaborate with the Director to drive and achieve standard revenue cycle KPIs or develop action plans to meet benchmarks. • Coordinate timely billing, posting, and collection procedures to ensure positive and consistent cash flow. • Establish operational expectations, set priorities, and manage processes to measure, assess, and improve departmental services. • Oversee monthly cash reconciliation with the Finance Department. • Monitor department activities and give direction to Coordinators to ensure timely issue resolution. • Partner with internal teams to improve EPIC system functionality and processes. • Address Clearinghouse-related concerns and escalate issues as appropriate. • Participate in revenue cycle projects as directed by the Director and assist with project staffing, documentation, and completion.

Staff Leadership & Development

Review staff productivity with Coordinators and report monthly to the Director.

Work with Coordinators daily on issues related to follow-up, posting, charge capture, and self-pay.

Collaborate with Coordinators and the Quality Assurance Manager to identify and resolve workflow issues.

Serve as the initial point of contact for HR-related staff matters.

Conduct and ensure timely performance evaluations and make recommendations regarding promotions, counseling, or disciplinary action.

Ensure Coordinators receive adequate training and information to perform assigned tasks effectively.

Initiate planned departmental changes in response to workload shifts, schedule needs, or emergency situations requiring staff reallocation.

Facilitate innovation, motivate staff, and coach team members on technical, operational, and behavioral expectations.

Payer Relations & Issue Resolution

Maintain working knowledge of payer contracts and payer-specific requirements.

Analyze payer-related issues and liaise with appropriate internal/external teams for resolution.

Communicate with third-party payers to resolve claim processing challenges or clarify new policies or procedures. Partner directly with Business Development leadership/team on contracting/credentialing & payer-related issues.

Build and maintain positive relationships with partners to ensure timely and efficient resolution of revenue cycle concerns.

Compliance & Communication

Maintain working knowledge of federal, state, and local regulations, as well as organizational compliance policies, the Code of Ethics, and other relevant guidelines.

Communicate effectively with superiors, peers, subordinates, and other stakeholders to ensure proper flow of information.

Maintain an open line of communication with the Director and proactively share relevant information requiring administrative action.

Develop, review, and recommend procedural changes to improve departmental efficiency.

KEY KNOWLEDGE, SKILLS, ABILITIES:

Demonstrated knowledge of patient accounting, operations, issues, challenges and performance metrics.

Knowledge of Medicare and Medicare regulations

Knowledge of Article 28, Article 31 and Federally Qualified Health Center regulations

Demonstrated record of accomplishment in meeting performance hurdles for improving cash collections as well as hitting targets for net days in accounts receivable.

Record of performance in developing and sustaining performance accountability at all levels within the revenue cycle operations department.

Demonstrated knowledge of dealing with potentially complex managed care contracting issues.

History of effective collaboration with other members of the revenue cycle team to ensure success in achieving the organization's performance targets.

Track record for successfully making and effectively implementing tough decisions

Exceptional leadership skills with a record of building a strong, results-oriented team that excels in a performance-driven environment.

A recognized problem-solver.

Ability to act with a sense of urgency when needed for performance and process improvement.

Intellectual capacity to assess complicated processes and to devise creative solutions that will enhance performance.

Demonstrated consistent commitment to effective customer service.

Effective written and verbal communications skills.

Ability to work in a self-directed manner

Demonstrated record of accomplishment in recruiting, retaining and developing staff members.

Requirements

Associate's degree in business, Healthcare Administration or related field - Required

or equivalent combination of education and experience

Bachelor's degree in business, Healthcare Administration or related field, or

equivalent combination of education and experience - Preferred

Medical Coding with Medical Billing Certification - Preferred

COMPUTER PROFICIENCY

Excellent computer and internet navigational skills - Required

Familiarity with Microsoft applications (Windows, Word, Excel, Outlook) - Required

Experience with healthcare management applications, EPIC preferred - Required

Knowledge of electronic claims and electronic remittance advice processes - Required

Ability to function independently - Required

Is punctual and maintains satisfactory attendance record - Required

Demonstrates trustworthiness and reliability - Required

Manages time and resources to meet established goals - Required

Demonstrates flexibility in the acceptance of work assignments - Required

Maintains patient/employee confidentiality in the management of PI - Required

Contributes to a cooperative, friendly and supportive work environment - Required

Identifies learning strengths and needs. Utilizes learning resources. - Required

Observes the Health Care System's compliance policies - Required

WORK EXPERIENCE

Minimum of 4 years in health care setting. - Required

Minimum of 2 years supervising a revenue cycle or billing team or 4 years - Required

in a comparable healthcare management role. - Required

Strong background in financial management, federal and state laws and

guidelines related to healthcare - Preferred

Knowledgeable about data collection, analysis, and reporting - Required